You know of the 20,000 genes in our body you can really only point to about a hundred that are directly this mutation means this disease and they're all pretty esoteric right it's all like inborn errors of metabolism and certain things like that but when you start to talk about the complex diseases like Alzheimer's disease even as predictive as the apoE4 is it's not even close to being enough to understand it. When people are sleep deprived we see greater elevations of cortisol which seems counterintuitive because evolution would want that to be in the opposite direction I mean the only explanation I can come up with is if you're sleep deprived you're assuming that there's a reason for it that

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